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  • C.C. Authorization Form 02

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    gtm007
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    This document is a credit card authorization form. It collects information about the credit cardholder such as their name, credit card type and number, expiration date, and billing address. It also authorizes another individual to use the credit card for specified charges and dates, up to a certain authorized amount. The cardholder must sign and date the form to authorize the card use.

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    This document is a credit card authorization form. It collects information about the credit cardholder such as their name, credit card type and number, expiration date, and billing address. It also authorizes another individual to use the credit card for specified charges and dates, up to a certain authorized amount. The cardholder must sign and date the form to authorize the card use.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
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    Download as docx, pdf, or txt
    39 views1 page

    C.C. Authorization Form 02

    Uploaded by

    gtm007
    This document is a credit card authorization form. It collects information about the credit cardholder such as their name, credit card type and number, expiration date, and billing address. It also authorizes another individual to use the credit card for specified charges and dates, up to a certain authorized amount. The cardholder must sign and date the form to authorize the card use.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    CREDIT CARD AUTHORIZATION

    GTM & Hospitality Inc., Atlanta, GA 30301 Office: 678-466-6644 info@gtmhospitality.com , www.gtmhospitality.com CREDIT CARDHOLDER INFORMATION NAME ON CREDIT CARD TYPE OF CREDIT CARD TYPE OF ACCOUNT COMPANY NAME ACCOUNT NUMBER EXPIRATION DATE BILLING ADDRESS CITY PHONE STATE EMAIL ZIP CODE FAX NUMBER VISA MC AMEX DISCOVER BUSINESS OTHER

    AUTHORIZED USER OF CREDIT CARD NAME COMPANY PHONE NUMBER EMAIL ADDRESS IDENTIFICATION RELATION TO OWNER TYPE OF CHARGES AUTHORIZED AMOUNT DATES OF CHARGES AUTHORIZATION OF CARD USE I certify that I am the authorized holder and signer of the credit card reference above. I certify that all information above is complete and accurate. I hereby authorize collection of payment for all charges as indicated above. Charges may not exceed the amount listed above in the AUTHORIZED AMOUNT field. I understand this is only for up to this amount during the time period of DATES OF CHARGES referenced above. If additional charges are going to be authorized a new form will have to be completed.

    GTM & Hospitality Inc. Office: 678-466-6644 info@gtmhospitality.com

    CARDHOLDER NAME SIGNATURE DATE

    *In order to keep or fees reasonable we ask that you tip the driver. Our personal thanks, GTM & Hospitality

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